WILLIAM PROVINCE

PARK CITY, UT
NPI1790001915
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: UT  9448540-1205)
Enumeration Date2010-04-13
Last Update Date2015-09-17
Business Address
WILLIAM PROVINCE MD
900 ROUND VALLEY DR
PARK CITY, UT 84060-7552
Phone number: 438-658-7000
Mailing Address
WILLIAM PROVINCE MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 317-828-1912
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